{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T11:09:29Z","timestamp":1791544169937,"version":"4.3.4"},"reference-count":11,"publisher":"BMJ","issue":"8","funder":[{"DOI":"10.13039\/100011417","name":"United Kingdom Clinical Research Collaboration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011417","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Sex Transm Infect"],"published-print":{"date-parts":[[2018,12]]},"abstract":"Objectives<\/jats:title>Evidence on optimal methods for providing STI test results is lacking. We evaluated an online results service, developed as part of an eSexual Health Clinic (eSHC).<\/jats:p><\/jats:sec>Methods<\/jats:title>We evaluated the online results service using a mixed-methods approach within large exploratory studies of the eSHC. Participants were chlamydia- positive and negative users of online postal self-sampling services in six National Chlamydia Screening Programme (NCSP) areas and chlamydia-positive patients from two genitourinary medicine (GUM) clinics between 21 July 2014 and 13 March 2015. Participants received a discreetly worded National Health Service \u2019NHS no-reply\u2019 text message (SMS) informing them that their test results were ready and providing a weblink to a secure website. Participants logged in with their date of birth and mobile telephone or clinic number. Chlamydia-positive patients were offered online management. All interactions with the eSHC system were automatically logged and their timing recorded. Post-treatment, a service evaluation survey (n=152) and qualitative interviews (n=36) were conducted by telephone. Chlamydia-negative patients were offered a short online survey (n=274). Data were integrated.<\/jats:p><\/jats:sec>Results<\/jats:title>92% (134\/146) of NCSP chlamydia-positive patients, 82% (161\/197) of GUM chlamydia-positive patients and 89% (1776\/1997) of NCSP chlamydia-negative participants accessed test results within 7 days. 91% of chlamydia-positive patients were happy with the results service; 64% of those who had tested previously found the results service better or much better than previous experiences. 90% of chlamydia-negative survey participants agreed they would be happy to receive results this way in the future. Interviewees described accessing results with ease and appreciated the privacy and control the two-step process gave them.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>A discreet SMS to alert users\/patients that results are available, followed by provision of results via a secure website, was highly acceptable, irrespective of test result and testing history. The eSHC results service afforded users privacy and control over when they viewed results without compromising access.<\/jats:p><\/jats:sec>","DOI":"10.1136\/sextrans-2017-053318","type":"journal-article","created":{"date-parts":[[2018,1,11]],"date-time":"2018-01-11T17:17:04Z","timestamp":1515691024000},"page":"622-624","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Mixed-methods evaluation of a novel online STI results service"],"prefix":"10.1136","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5696-0260","authenticated-orcid":false,"given":"Jo","family":"Gibbs","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7515-3667","authenticated-orcid":false,"given":"Catherine R H","family":"Aicken","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorna J","family":"Sutcliffe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Voula","family":"Gkatzidou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura J","family":"Tickle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Hone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S Tariq","family":"Sadiq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pam","family":"Sonnenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia S","family":"Estcourt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,1,11]]},"reference":[{"key":"2020050723340594000_94.8.622.1","unstructured":"Gibbs J . Developing eSexual Health within the NHS. How can we optimally design, implement and evaluate an internet-based clinical pathway for remote testing, diagnosis, clinical assessment, antibiotic prescribing and partner management of sexually transmitted infections? 2015. qmro.qmul.ac.uk\/xmlui\/handle\/123456789\/12829"},{"key":"2020050723340594000_94.8.622.2","doi-asserted-by":"crossref","first-page":"e182","DOI":"10.1016\/S2468-2667(17)30034-8","article-title":"The eSexual Health Clinic system for management, prevention, and control of sexually transmitted infections: exploratory studies in people testing for Chlamydia trachomatis","volume":"2","author":"Estcourt","year":"2017","journal-title":"Lancet Public Health"},{"key":"2020050723340594000_94.8.622.3","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1186\/s12911-016-0338-8","article-title":"The eClinical Care Pathway Framework: a novel structure for creation of online complex clinical care pathways and its application in the management of sexually transmitted infections","volume":"16","author":"Gibbs","year":"2016","journal-title":"BMC Med Inform Decis Mak"},{"key":"2020050723340594000_94.8.622.4","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1186\/s12889-016-3648-y","article-title":"Young people\u2019s perceptions of smartphone-enabled self-testing and online care for sexually transmitted infections: qualitative interview study","volume":"16","author":"Aicken","year":"2016","journal-title":"BMC Public Health"},{"key":"2020050723340594000_94.8.622.5","unstructured":"Gkatzidou V , Hone K , Gibbs J , et al . A user-centred approach to inform the design of a mobile application for STI diagnosis and management. International BCS Human Computer Interaction Conference, 2013:1\u201327. http:\/\/dl.acm.org.proxy2.library.illinois.edu\/citation.cfm?id=2578048.2578084%5Cnfiles\/11985\/Gkatzidou et al.-2013 - A User-centred Approach to Inform the Design of a.pdf. (accessed 7 Sep 2016)."},{"key":"2020050723340594000_94.8.622.6","doi-asserted-by":"crossref","unstructured":"Aicken CRH , Sutcliffe LJ , Gibbs J , et al . Using the eSexual Health Clinic to access chlamydia treatment and care via the internet: a qualitative interview study. Sex Transm Infect 2017:sextrans-2017-053227. doi:10.1136\/sextrans-2017-053227","DOI":"10.1136\/sextrans-2017-053227"},{"key":"2020050723340594000_94.8.622.7","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2008.032441"},{"key":"2020050723340594000_94.8.622.8","doi-asserted-by":"publisher","DOI":"10.1258\/ijsa.2007.007172"},{"key":"2020050723340594000_94.8.622.9","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1071\/SH12062","article-title":"Clients\u2019 preferred methods of obtaining sexually transmissable infection or HIV results from Sydney Sexual Health Centre","volume":"10","author":"Martin","year":"2013","journal-title":"Sex Health"},{"key":"2020050723340594000_94.8.622.10","doi-asserted-by":"crossref","first-page":"1465","DOI":"10.1080\/10810730.2013.798379","article-title":"Talk or text to tell? How young adults in Canada and South Africa prefer to receive STI results, counseling, and treatment updates in a wireless world","volume":"18","author":"Labacher","year":"2013","journal-title":"J Health Commun"},{"key":"2020050723340594000_94.8.622.11","doi-asserted-by":"crossref","first-page":"e213","DOI":"10.2196\/jmir.4384","article-title":"Swab2know: an HIV-testing strategy using oral fluid samples and online communication of test results for men who have sex with men in Belgium","volume":"17","author":"Platteau","year":"2015","journal-title":"J Med Internet Res"}],"container-title":["Sexually Transmitted Infections"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/sextrans-2017-053318","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,26]],"date-time":"2020-09-26T10:19:56Z","timestamp":1601115596000},"score":1,"resource":{"primary":{"URL":"https:\/\/sti.bmj.com\/lookup\/doi\/10.1136\/sextrans-2017-053318"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1,11]]},"references-count":11,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2018,11,22]]},"published-print":{"date-parts":[[2018,12]]}},"alternative-id":["10.1136\/sextrans-2017-053318"],"URL":"https:\/\/doi.org\/10.1136\/sextrans-2017-053318","relation":{},"ISSN":["1368-4973","1472-3263"],"issn-type":[{"value":"1368-4973","type":"print"},{"value":"1472-3263","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1,11]]}}}